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Lemont, IL 60439
Oversee staff operations, business planning and budget development for the Risk department.
Direct staff in effective and efficient use of programs that promote quality processes.
Implement, educate and encourage incident reporting system throughout the facility.
Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification.
Implement risk management program throughout the facility.
Develop and implement infrastructures and systems that support patient safety.
Work closely with Clinical Department practice to ensure the organization’s procedures and policies are being followed by all employees.
Work with internal auditors, security contractors, and other staff to establish an internal control system.
Monitor and analyze program performance data to determine program effectiveness and identify opportunities for improvement. Insure compliance with all administrative requirements.
Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees.
Maintain database of full disclosure activities and provide oversight for review programs and provides technical support as needed.
Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development and compliance initiatives.
Collaborate with clinical staff and management for prevention of clinical risks throughout the facility. Develops effective working relationships with clinical staff and administrative personnel to facilitate the delivery of patient care.
Create and implement policies and procedures that improve both patient care and employee safety. Ensure the application of institutional policies, especially those regarding patient rights, confidentiality and full disclosure.
Develop, implement, coordinate and facilitates the Quality Assurance/Process Improvement (QAPI) Program for facility.
Assess QAPI needs and trends for the facility program by reviewing current practices and gathering, compiling and evaluating data related to employees, services, and patient feedback.
Delegate and support the QAPI and risk management activities of Department Directors to ensure desired, department-related outcomes for patient care and safety.
Perform other functions and tasks as assigned.
Bachelor’s degree in a clinical healthcare field, or a bachelor’s degree in risk management, business, finance, or a related field. Master’s degree in health information management, nursing, or related field preferred. Five plus years’ experience in a risk management position.
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.
+ Bachelors or better in Nursing/Healthcare
+ Masters or better in Nursing/Healthcare
+ 5 years: 1. Expertise in Joint Commission Accreditation
+ 5 years: Knowledge of federal and state laws and regulations and accreditation standards
+ 5 years: Knowledge of statistics, data collection, analysis and data presentation
+ 5 years: A minimum of 5 years’ experience in health information management & Quality Improvement
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or © consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35©